Medical Mystery Monday #3

Here’s another edition of Medical Mystery Monday! Read the case below, and try to diagnose her by writing your guess in the comments section. I’ll post the answer on Tuesday morning. I want to thank reader Danielle who gave me the idea for this case. If any other readers want me to feature a certain disease or symptom in a future Medical Mystery Monday, you can e-mail me suggestions at mdtobeblog@gmail.com.

A 32 year old pregnant woman who is 36 weeks along comes to the Emergency Room. She tells you she has a general sick feeling, with a headache, nausea, and pain on the right side of her body between her breast and navel. The patient has a history of drug and alcohol use, but stopped five years ago. She is not currently taking any medications. This is her first pregnancy, and there have been no complications until this admission to the ER. During the physical exam, her doctor notes that she has high blood pressure, some swelling of her face and legs, and notes that her eyes appear as pictured below. The fetal heart rate is normal. Her doctor decides to do a blood test, and notes that the patient has a low platelet count and abnormally high levels of liver enzymes. A slide preparation of her blood appears below.